MA Billing Specialist

Department: Revenue Cycle Salary: $51,200 to $56,000 DOE Location: Remote- M-F work between 6am-6pm CST We are ONLY considering people in Minnesota. About The Role MAC Midwest is seeking an experienced Billing Specialist focused on Minnesota Medical Assistance (MA) billing, claims resolution, and timely reimbursement. This role monitors unpaid claims, investigates denials, prepares appeals, and follows up with DHS and other payer contacts to resolve payment issues. Experience working with Minnesota DHS or state healthcare programs is especially valuable. You will collaborate with Revenue Cycle leadership, Credentialing, Authorizations, and clinical teams to resolve barriers and keep claims moving.

Key Responsibilities

Prepare, review, and submit accurate claims to Minnesota Medical Assistance, managed care organizations, and commercial insurers within payer timely filing deadlines. Monitor claim status and assigned accounts receivable; investigate unpaid or underpaid claims and follow through to resolution. Analyze rejections and denials, correct billing errors, and prepare appeals with supporting documentation. Track deadlines and escalate unresolved or high-risk claims. Verify insurance eligibility and coverage as assigned; coordinate resolution of authorization, provider enrollment, and other payer requirements with the responsible teams. Maintain accurate client billing profiles, charges, payment postings, and adjustments within established procedures and approval limits. Respond to payer correspondence and records requests, coordinate required documentation, and track timely completion and submission. Communicate with clients and families about coverage and billing questions respectfully and clearly. Document follow-up actions, payer communications, and next steps in designated systems so work status is visible to the team. Identify recurring billing issues, share findings with leadership, and help implement approved process improvements. Support cross-training and backup coverage, meet established productivity and accuracy expectations, and protect confidential information in accordance with HIPAA and organizational policies. Complete miscellaneous assignments from the Revenue Cycle Manager and other management as needed. Work collaboratively to support all areas of billing and reimbursement as necessary.

Qualifications

High school diploma or equivalent and at least five years of medical billing experience, including claims submission, accounts receivable follow-up, denials, and appeals. Experience billing Minnesota Medical Assistance (MA), including researching unpaid claims, resolving denials, and meeting payer requirements and timely filing deadlines. Experience working directly with Minnesota DHS or other state healthcare program contacts to resolve billing and reimbursement issues preferred. Experience with professional billing using the CMS-1500 claim format, electronic claim submission, payer portals, and electronic remittance information. Experience with MN–ITS, EIDBI billing, and Minnesota Medicaid managed care plans preferred. Ability to identify billing issues involving eligibility, authorizations, provider enrollment, or documentation and coordinate resolution with the appropriate teams. Experience in autism services, behavioral health, or outpatient healthcare billing preferred. CentralReach experience and Certified Professional Biller (CPB) or related certification preferred. Commercial insurance billing experience preferred. Relevant postsecondary education in healthcare administration, business, accounting, or a related field preferred. Proficiency with billing or electronic health record systems, Microsoft 365, and Excel for tracking and reviewing work. Strong attention to detail, organization, problem-solving, and communication skills, with consistent documentation and follow-through. Ability to work independently in a remote setting and collaborate effectively across teams. Minnesota residency and successful completion of required background checks.

Benefits

Paid biweekly. Medical, Dental, Vision Insurance Student Loan Repayment Program (after 1 year) About The Company MAC's services are center-based and in-home, and include speech and occupational therapy, assessment and diagnostic services, and individual and family therapy. At any given time, MAC serves approximately 370-400 clients throughout Minnesota at 16 centers located in Hopkins, Fridley, Monticello, Bemidji, Forest Lake, Woodbury, Duluth, Virginia, Mankato, Rochester, Red Wing, Austin, New Ulm, Hutchinson, Cambridge. Equal Opportunity Employer MAC is an Equal Opportunity Employer and does not discriminate in terms or conditions of employment on the basis of sex (including pregnancy, childbirth, and related medical conditions), race, traits associated with race (including hair texture and style), color, national origin, religion, creed, age once having reached the age of majority, sexual orientation, gender identity, gender expression, military status, veteran status, disability, marital status, familial status, genetic information, status with respect to public assistance, or any other characteristics that are protected by federal, state, or local laws.